Literature Review

Skepticism is healthy, but in medicine, it can be dangerous The New York Times, Guest Essay, by Dr. Daniela J. Lamas; 4/24/24 I arrived at the hospital one recent morning to find a team of doctors gathered just outside a patient room. The patient was struggling — his breaths too fast and too shallow. For days we had been trying to walk the line between treating the pain caused by his rapidly growing cancer and prolonging his life. [The author describes interactions with the family.] ... We are at a crossroads in medicine when it comes to public trust. After a pandemic that twisted science for political gain, it is not surprising that confidence in medicine is eroding. ... Our medical system relies on trust — in face-to-face meetings as well as public health bulletins. Distrust can lead doctors to burnout and can encourage avoidable negative outcomes for our patients.Editor's Note: For a patient/caregiver/family to agree to a hospice admission, they must first trust the physician who refers them to your organization. Before that, the referring physician must trust your organization. Too often, "trust" is diluted as a "soft skill." "Trust"--as described in this article--is a cornerstone, a foundation of strength, endurance, and integrity in the hardest, most conflicted times of decisions about living and dying that a person (and family) might face.

[Maine] Attention Section 43 Hospice Services Providers: Electronic Visit Verification (EVV) implementation delayed until further noticeState of Maine Department of Health and Human Services; 4/22/24 As of March 15, 2023, MaineCare temporarily excluded hospice services from EVV requirements as a delayed enforcement of our approved State Plan requirements. On December 1, 2023, we announced our plan to implement EVV requirements for hospice services starting July 1, 2024. following enactment of P.L. 2023, ch. 576 (LD 2055), An Act to Prohibit the Department of Health and Human Services from Implementing Electronic Visit Verification for Hospice Providers Within the MaineCare Program Unless Mandated by the Federal Government, the Department is delaying the implementation of EVV requirements for hospice services until further notice.

FBI, DEA search Angel Bright Home Health offices Monday, along with state Medicare fraud unit 3NEWS, Corpus Christi, TX, by Ana Tamez and Lexis Greene; 4/22/24 The FBI searched the Angel Bright Home Health Inc. offices Monday morning. FBI Public Affairs Officer Connor Hagan confirmed FBI-Houston agents were partnering with the Drug Enforcement Agency (DEA) and the Texas Medicaid Fraud Control Unit (MFCU) on an operation on Holly Road. ... 3NEWS found about a dozen agents at the home-health and hospice agency's office throughout the day Monday. At about 1:15 p.m., they began carting out boxes filled with documents and loading them into an unmarked box truck.

Hospice volunteers share their ‘why’ The Journal, by Lores Morton; 4/21/2024 From volunteer Lores Morton: Why am I a volunteer for Hospice of the Panhandle? It is for our patient’s caregivers, to give them break relief; to share what may be missing with patient’s spiritual support; to be a memory keeper — legacy; to give simple visitation; and, also, to volunteer administratively for Light Up a Life. ...  From volunteer Kelly Orwig, "My why has evolved, but at the core, is that I love people. I love people who need love. Death and dying are natural, but over our lives, we’ve been socialized to fear death to the point that we fear those who are dying. ...." 

Hospice of the Red River Valley celebrates milestone in Heather's House constructionInforum, Fargo, ND; by Michael McGurran; 4/19/24An important milestone for a first-of-its-kind Hospice facility in North Dakota, a dream project literally decades in the making. It was just two years ago that staff broke ground on the ambitious project. Heather's House will serve as a "hospital in disguise," a place with 18 beds where family and loved ones can spend their final time together in comfort, rather than in a hospital. It's all fully funded by donors. "You brought to life, a 25-year dream for this community," Hospice of the Red River Valley Executive Director Tracee Caprol told a crowd of donors on Friday, April 19. "Twenty-five years. You have the hearts, that compassion, the empathy, and a deep seated understanding of the needs of others."

Black patients with ovarian cancer had lower-quality end-of-life care, study says American Journal of Managed Care (AJMC), by Brooke McCormick; 4/21/24 Non-Hispanic Black (NHB) patients with ovarian cancer (OC) received lower-quality end-of-life (EOL) care than non-Hispanic White (NHW) patients, according to a study published in Cancer Research Communications. ... Although trends and disparities in EOL care among patients with OC are well documented, the researchers noted that the role of health care access (HCA) in quality EOL care has not been well characterized; HCA is comprised of 5 distinct, interrelated care access dimensions, namely affordability, availability, accessibility, accommodation, and acceptability. 

Man forces himself inside home, robs 2 women, including hospice patient, at gunpoint in north St. Louis NBC 5, St. Louis; by Calrissa Cowley; 4/19/24 The victim in hospice care was unable to move on her own or call the police during the ordeal. A man is facing charges three days after forcing his way into a north St. Louis home and robbing two 60-year-old women, one of whom was in hospice care, at gunpoint. St. Louis prosecutors charged 46-year-old Ronnie Jackson on Thursday with one count of first-degree robbery, one count of burglary, one count of kidnapping and three counts of armed criminal action. Each charge is a felony.

Money donated to hospice organization: [$24k+ to Hospice Volunteers of Hancock County] Fox TV 22 and ABC TV 7 - Bangor, ME; by Susan Farley; 4/18/24During [November and December], Subaru of America and Stanley Subaru in Trenton donate a portion of proceeds from every new car sale to charity. Today they gave Hospice Volunteers of Hancock County a check for almost $ 25,000. "We are also growing our service with palliative care . We know that's a very underserved population really with support from volunteers going into the home providing companionship and respite. ... " said Hospice Volunteers of Hancock County Executive Director Kathy Bailargeon.

Connecticut home care safety bill would create administrative burdens, hospices sayMcKnights Home Care, by Adam Healy; 4/19/24 Some hospices are fighting to be carved out of a Connecticut state bill that would impose stricter safety policies for home-based healthcare providers. The legislation’s burdensome administrative requirements could affect patient care, they argue. ...  The bill’s introduction comes only months after a visiting nurse was killed on the job while providing care through a Connecticut home care agency. ... By the time a hospice could produce background checks and safety reports for a client, it may be too late to provide effective treatment, according to Barbara Pearce, chief executive officer of Connecticut Hospice.Editor's Note: For more information, see the articles we posted on 

Volunteers make best days possible for 600 people a day at VNA Hospice NWIGreatNews.Life, Valparaiso, IN; 5/19/24VNA Hospice NWI serves over 600 people a day. From Hospice and Palliative Care, Grief Support services for adults and children to the Medical Guardian help button and a Meals on Wheels program, the impact of VNA services around the region is tremendous. The VNA staff work tirelessly to ensure these essential services are available each day – but they can’t do it alone. Their team relies on an army of volunteers, who do everything from stuffing envelopes and labeling meal bags, to working directly with hospice patients and bereaved children, and delivering the meals. Maria Galka, Director of Development for VNA Hospice, said that the organization’s volunteers outnumber its staff by about five to one. Editor's Note: April's Volunteer Appreciation Month is still underway. Learn from this superb article, posted on an online community site. VNA Hospice NWI's astonishing volunteer program bears repeating: "... the organization’s volunteers outnumber its staff by about five to one."

Rock River Hospice and Home receives $5,000 grant Shaw Local News Network; 4/18/24The Do it Best Foundation announced that a $5,000 grant has been awarded to Rock River Hospice and Home [Sterling, IL]. “Rock River is a regional leader in providing end-of-life care,” said Rich Jordan, general manager at the Do it Best warehouse in nearby Dixon. “No one is ever turned away from their services for their inability to pay, which is why donations and grants are so important. We’re honored to support their efforts to treat every patient and their families with dignity and respect.”

Longview Marines honored for helping fellow veterans during their time in hospice care CBS 19 Tyler, TX; by Alan Kasper and Zak Wellerman; 4/18/24 A Longview hospice took time to recognize some very valuable volunteers Wednesday afternoon. Members of AccentCare Hospice & Palliative Care in Longview honored two Marines Corp. veterans who volunteer their time and help fellow veterans going through hospice care. Vietnam War veterans Jim Jones and Will Haggard have spent the past 12 years as part of a contingent from the Longview Marine Corp League, meaning they help make their last moments better for those in hospice care. ... Pam Fletcher, AccentCare Hospice executive director, said the hospice facility appreciates having volunteers like Jones, Haggard and others. 

Valley Health and Blue Ridge Hospice collaborate to offer hospice in the hospital program at Shenandoah Memorial Hospital in Woodstock, VA Valley Health Press Release; 4/15/24 Valley Health and Blue Ridge Hospice have expanded their collaborative Hospice in the Hospital program to Shenandoah Memorial Hospital in Woodstock, VA. On April 1, the two signed an agreement for Blue Ridge Hospice to work alongside the hospital’s care team to provide supplemental comfort care services to ensure eligible patients and families receive the most complete and comprehensive care during and after their stay at the hospital.